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							<div style="padding: 3px 0 3px 0"><img src="images/ico.gif" width="9" height="7" border="0" alt=""> <a class="topmenu"><u>Nombre:</u></a></div>
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					<td width="350"><div class="lb"></div> <div class="lw">SOLICITUD PARA SER ACREEDORES  AL BFH</div></td>
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                                    <td width="625"><a class="item_name" >Solicitud de Ciudadano DNI: 98565</a></td>
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                                  	<td height="101" bgcolor="#FFFFCC">&nbsp;
                                    <!-- Datos Grupo Familiar -->
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                                           	      <td colspan="2" class="title">DATOS DEL JEFE DE FAMILIA</td>
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                                           	      <td width="159" class="sub_title">Nombre</td>
                                           	      <td width="132"><input name="djf1" type="text" class="user-text-box" /></td>
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                                           	      <td class="sub_title">Apellidos</td>
                                           	      <td><input name="djf2" type="text" class="user-text-box" /></td>
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                                           	      <td class="sub_title">DNI</td>
                                           	      <td><input name="djf3" type="text" class="user-text-box" /></td>
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                                           	      <td class="sub_title">Otros</td>
                                           	      <td><input name="djf4" type="text" class="user-text-box" /></td>
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                                                <td colspan="2" class="title">DATOS GRUPO FAMILIAR</td>
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                                                <td width="112" class="sub_title">T&eacute;lefono</td>
                                                <td width="132"><input name="dgf1" type="text" class="user-text-box" /></td>
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                                                <td class="sub_title">N&uacute;mero de dependientes</td>
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                                                <td class="sub_title">Miembros con Discapacidad</td>
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                                                <td>&nbsp;</td>
                                                <td>&nbsp;</td>
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                                                <td colspan="2" class="title">CONSTITUCI&Oacute;N DEL HOGAR</td>
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                                                <td width="124">&nbsp;</td>
                                                <td width="157" class="sub_title">Jefe de Familia solo</td>
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                                                <td>&nbsp;</td>
                                                <td class="sub_title">Jefa de Familia sola</td>
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                                                <td>&nbsp;</td>
                                                <td class="sub_title">Jefe de Familia con discapacidad</td>
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                                                <td height="31">&nbsp;</td>
                                                <td>&nbsp;</td>
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                                          	      <td colspan="2" class="title">DATOS DEL AHORRO</td>
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                                          	      <td width="148" class="sub_title">Entidad Financiera</td>
                                          	      <td width="132"><input name="da1" type="text" class="user-text-box" /></td>
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                                          	      <td class="sub_title">N&uacute;mero de Cuenta</td>
                                          	      <td><input name="da1" type="text" class="user-text-box" /></td>
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                                          	      <td class="sub_title" >Fecha de apertura de la cuenta</td>
                                          	      <td><input name="da1" type="text" class="user-text-box" /></td>
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                                          	      <td class="sub_title">Monto del Ahorro</td>
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                                           	      <td colspan="2" class="title">DATOS DE LA VIVIENDA</td>
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                                           	      <td width="159" class="sub_title">Precio de la vivienda</td>
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                                           	      <td class="sub_title">Entidad financiera de la vivienda</td>
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                                           	      <td class="sub_title">Monto del prestamo de Hipoteca</td>
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                                           	      <td class="sub_title">Nombre del Proyecto</td>
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                                          	      <td colspan="2" class="title" >VICTIMAS DEL TERRORISMO</td>
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                                          	      <td width="117" class="sub_title">Parentesco</td>
                                          	      <td width="132">&nbsp;</td>
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                                          	      <td class="sub_title">Nombre de la Persona</td>
                                          	      <td><input name="da1" type="text" class="user-text-box" /></td>
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                                          	      <td>&nbsp;</td>
                                          	      <td>&nbsp;</td>
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                                           	<td> 
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                                           	      <td colspan="2" class="title">APORTACI&Oacute;N AL FONAVI</td>
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                                           	      <td width="163" class="sub_title">Acreditado por </td>
                                           	      <td width="132">&nbsp;</td>
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                                           	      <td class="sub_title">Tiempo de Aportaci&oacute;n</td>
                                           	      <td><input name="af1" type="text" class="user-text-box" /></td>
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                                           	      <td class="sub_title">Monto mensual</td>
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                                    <td class="title">Registrar Observaci&oacute;n</td>
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                                  	  <label for="textobs"></label>
                                  	  <textarea name="textobs" id="textobs" cols="60" rows="5"></textarea>
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                                   <select name="lista" >
                                     <option>Aceptado</option>
                                     <option>Rechazado</option>
                                     <option>En Proceso</option>
                                   
                                   </select>
                                   </td>
                                    
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                                    <td height="39" colspan="2">&nbsp;</td>
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                                    <td width="300"><img src="images/enviar.png" width="90" height="24" longdesc="http://#"></td>
                                    <td width="102"><img src="images/salir.png" width="90" height="24" longdesc="http://#"></td>
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